No libido / Energy on TRT [Low SHBG, High E2, High PRL) Tried so much

Pharma / TRT
1

Most recent bloods attached below (Also a DHT only test from 2023)

I’ve been trying to feel good for 2 years. During this time I’ve tried Cyp + Enanthate (EOD + E3.5D Propionate (ED), at varying doses (800ng/dL - 2000ng/dL)

Nothing has ever made me feel how T should feel. I have no energy to get up in the morning, no libido, no morning wood.

The first time I ever got on 2 years ago (Cyp) I felt great for the first couple weeks, felt libido creep in, (this still happens when changing dose substantially) but then everything drops off.

Weird things to note:

Occasionally after heavy drinking (the morning after) I feel great, how I should feel on T except the effect on cognition via the hangover behind it. I have never been able to explain this as my E2 is ALWAYS high anyway - explained below:

AI: E2 in my bloods always seems high. However, taking an AI (Anastrozole) gives me low e2 symptoms before I feel better, always, no matter the dosage - it’s on the E2 rise back up I have 1 day (Max) of feeling good (not optimal) again, then back to feeling shit.

I got DHT tested in 2023 as I thought maybe low SHBG means I’m aromatising so much that T > DHT just isn’t happening, and my DHT ended up being really low.

I took proviron at varying doses (25, 50mg a day) for a few weeks. All that happened is I lost lots of hair and felt dryer.

I’m going through periods (especially now) where I have quite significant brain fog (worse the higher my e2 is) where I genuinely feel retarded. I’ve always been sharp and intelligent, but at the moment that just isn’t there, and I actually struggle to speak and fuck up a lot of words and sentences because of it.

I really don’t know where to go - any advice from anyone who’s gone through the same thing or is more knowledgable than I am would be so, so appreciated.

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2

Maybe stupid but have tried just quitting everything for a couple of months?

4

I started a couple years ago because I’ve always felt way behind RE masculinity. My T was 250ng/dL - if I come off with or without PCT now I’m guaranteed to go back to that - although I’m almost certain my mental clarity will come back.

I’ve intentionally missed doses for a week before whilst I was on propionate to experience the sharp drop, and weirdly each time around the 4th day I had a libido boom (only a few hours) and felt pretty good.

How would coming off be a resolution when my base levels are so bad?

5

What is your age and current body fat levels?

Are you dialed in on the things that really matter:

Diet
Periodized training
Sleep hygiene

Neuro health
Mitochondrial health

Cardio
Rhr
Hrv

6

Hi, I’m 23. My HRV is 177, RHR 50-60.

I’ve always had good aerobic fitness levels as I’ve been active for years.

I currently run once a week all day (Airsoft) and try to do 1 or 2 other cardio sessions a week. Apart from that I do work in office but my cardio fitness has never been much of a concern.

As far as I’m aware (All health markers apart from hormones have always been good) My neurological health is good. I’ve always been sharp mentally.

7

@EFShadow Hi, I’m 23. My HRV is 177, RHR 50-60.

I’ve always had good aerobic fitness levels as I’ve been active for years.

I currently run once a week all day (Airsoft) and try to do 1 or 2 other cardio sessions a week. Apart from that I do work in office but my cardio fitness has never been much of a concern.

As far as I’m aware (All health markers apart from hormones have always been good) My neurological health is good. I’ve always been sharp mentally.

8

You’ve likely demonstrated testosterone isn’t your core issue with aforementioned symptoms. I’d suggest keeping your hormone levels stable and pursue other causes.